1. Home
  2. Directory
  3. North Carolina
  4. Winston Salem
  5. Counselor
  6. NPI Profile

KIMBERLY SIMONNE NELSON LCMHC
NPI 1356497325
Counselor - Mental Health in Winston Salem, NC

Active since January 25, 2007PECOS Enrolled
140 KIMEL PARK DR STE 101, WINSTON SALEM, NC 27103(336) 718-7280(336) 718-7290 Get Directions Write a Review

NPPES record last updated: August 28, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 15, 2021, Oct 29, 2020 (2 updates tracked since 2020).

About Kimberly Simonne Nelson Lcmhc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIMBERLY SIMONNE NELSON LCMHC (NPI 1356497325) is an individual mental health provider in Winston Salem, North Carolina, licensed in North Carolina (4349) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356497325
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKIMBERLY SIMONNE NELSONCredential: LCMHC
Location Address140 KIMEL PARK DR STE 101Winston Salem, NC 27103-6185
Mailing AddressPo Box 60447Charlotte, NC 28260-0447
Phone(336) 718-7280
Fax(336) 718-7290
Sole ProprietorNo
Enumeration DateJanuary 25, 2007
Last NPPES UpdateAugust 28, 20242 updates tracked since enumeration
NPPES CertifiedAugust 28, 2024
✔ NPI 1356497325 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NC · 4349
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 4349 (NC)
140 KIMEL PARK DR STE 101, Winston Salem, NC 27103
Open in Google Maps ↗

Other Names 1

Other Name (5)Kimberly Lane Nelson Lpc

Other Identifiers 2

Other137PUNC · Mental Health
Medicaid6102130NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Cigna Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kimberly Simonne Nelson Lcmhc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Kimberly Nelson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Novant Health Medical Group, LLC
Same address
Psychiatry
140 KIMEL PARK DR STE 200
Winston Salem, NC 27103
  • Reassigned Medicare billing, North Carolina enrollment
  • 2,998 clinicians in this Medicare group
NPI 1235666231 (704) 316-7585

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. BRITTANY NICOLE GRAALMAN LCSWA
Social Worker (Clinical)
140 KIMEL PARK DR STE 101
WINSTON SALEM, NC 27103
Forsyth County (336) 718-7280
XAVIER QUAMAINE LEE FULLERTON LPC-A, CRC
Counselor (Mental Health)
140 KIMEL PARK DR STE 101
WINSTON SALEM, NC 27103
Forsyth County (336) 718-7280
NOVANT HEALTH MEDICAL GROUP, LLC
Psychiatry & Neurology (Psychiatry)
140 KIMEL PARK DR STE 101
WINSTON SALEM, NC 27103
Forsyth County (336) 718-7280
ESTHER RUTH SWAN DO
Psychiatry & Neurology (Psychiatry)
140 KIMEL PARK DR STE 101
WINSTON SALEM, NC 27103
Forsyth County (336) 718-7280
RICHARD DEWITT JACKSON II M.D.
Psychiatry & Neurology (Psychiatry)
140 KIMEL PARK DR STE 101
WINSTON SALEM, NC 27103
Forsyth County (336) 718-7280
VALERIE DENISE WINKLER LCMHC, LCMHC-S, LPC
Counselor (Mental Health)
140 KIMEL PARK DR STE 101
WINSTON SALEM, NC 27103
Forsyth County (336) 718-7280

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kimberly Nelson's NPI number?

The NPI number for Kimberly Nelson is 1356497325. It was assigned to this individual provider in the NPPES registry on January 25, 2007. The provider is also known as Kimberly Lane Nelson Lpc.

Where is Kimberly Nelson located?

Kimberly Nelson practices at 140 Kimel Park Dr Ste 101, Winston Salem, NC 27103. The listed phone number is (336) 718-7280.

What is Kimberly Nelson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Kimberly Nelson enrolled in Medicare?

Yes. Kimberly Nelson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kimberly Nelson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Nelson reassigns Medicare benefits to Novant Health Medical Group, LLC (Winston Salem, NC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kimberly Nelson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kimberly Nelson accept?

Health plans from Blue Cross and Blue Shield of NC and Cigna Healthcare list Kimberly Nelson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kimberly Nelson was last updated on August 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.